Background S2-alar-iliac (S2AI) screws are one of the options for spinopelvic fixation to improve stability across the lumbosacral junction. The S2AI screws cross the cortical surfaces of the sacroiliac joint, which can increase the biomechanical strength of the instrumentation.
Objective: To investigate the durability and failure types of S2AI screw by finite element model (FEM) analysis.
Methods Through the FEM, complex material and geometrical properties of the biological system can be evaluated, and various physical variables, such as stress, and fracture, can be analyzed. We examined the biomechanical stress distribution at the set screw and screw head by using a FEM. Von Mises (V.M.) stress (MPa) is derived from 3-dimensional status of stress. The finite element software Abaqus® version 6.5 (ABAQUS Inc., Johnston, RI, USA) was used to create a FEM.
Results We quantified the peak V.M. stress applied to the set screw and screw head when rod to S2AI screw trajectory angle was 30º angled and perpendicular. In FEM analysis, at an angle of 30 degrees rather than perpendicular, the stress increased further around the area where the screw head and rod contacted and the displacement distribution of set screw also increased.
Conclusion S2AI screw fixation has several drawbacks such as screw fracture and dislodgement of the set screw. This FEM analysis can support the result.
